2023 Newark City Business Tax Return
                   Calendar Year Taxpayers File by:  April 15, 2024
                   Fiscal Year Taxpayers File By:  15th Day of 4th Month After Year End
                   Enter Fiscal Year                             to

Name:
Address:
CSZ

EIN:

1.   Adjusted Federal Taxable Income per attached return                      1
2.   Adjustments (Form Schedule X, Line Q)                                    2
3.   Taxable Income before Apportionment                                      3
4.   Apportionment Percentage (100% or Schedule Y, Step 5)                    4
5.   Adjusted Net Taxable Income                                              5
6.   Newark City Tax Due (line 5 times 1.75%)                                 6
7.   Estimated Tax Payments plus prior year carryover                         7
8.   Other Credits - provide explanation and documentation                    8
9.   Total Credits                                                            9
10.  Tax Due                                                                  10
11.  Overpayment                                                              11
12.  Balance Due (if less than $10.01 enter 0)                                12
13.  Overpayment
          Amt carried forward                         Amt Refund
                                 (If overpayment is less than $10.01 enter 0)

                                 Declaration of Estimated Tax for 2024
                              Required if estimated tax is $200.00 or more.
          14.  Estimated Income subject to Newark City Tax                    14
          15.  Estimated Tax (line 14 times 1.75%)                            15
          16.  Quarterly Payment Due                                          16
          17.  Credit carried forward from prior year                         17
          18.  Amount Due for 1st Quarter                                     18

          19.  Balance due with Return (line 12 plus line 18)                 19
                                 Make checks payable to Newark City Income Tax

                   I hereby declare that the above information is true, correct and complete.

Signature                                  Title                                Date

Preparer signature                                                              Date
May we contact your preparer directly with any questions?     Yes
                                                              No

                                                   Schedule X
                                                   Items not Deductible
A. Capital Losses (IRC 1221 OR 1231 property)                              A
B. Expenses attributable to non-taxable income  ( 5% non-taxable)          B
C. Federally deducted taxes based on income                                C
D. Guaranteed payments or accruals to partners/members                     D
E. Federally deducted dividends, distributions or amounts set aside
for, credited, or distributed to REIT or RIC investors                     E
F. Federal deducted amount for qualified self-employed retirement
and health and life insurance plans for owners of non-C corps              F
G. Rental activities by Ptshp, S corp, LLC, Trusts                         G
H. Other (explain and document)                                            H
I. Total Deductions                                                        I

                                            Items not Taxable
J. Federal reported income/gains from IRC1221 OR 1231 property dispositions
except to the extent the income/gains apply to those described
in IRC 1245 or 1250 - not ordinary gains                                   J
K. Federally reported intangible income                                    K
L. Federal tax credits to the extent they have reduced corresponding
operating expenses                                                         L
M. IRC Section 179 expenses                                                M
N. Charitable contributions of Ptshp, S Corp, LLC                          N
O. Other (explain and document                                             O
P. Total Deductions                                                        P
Q.  Total Adjustment (Line I minus P, enter on Page 1, Line 2)             Q

                            Schedule Y - Business Apportionment Formula

                                                       Everywhere          Newark City      %
1.  Avg cost of real & tangible personal property
Gross annual rentals multiplied by 8
Total Step 1
2. Gross receipts - sales/work/services performed
3. Employee wages, salaries and compensation
4. Total percentages
5.  Average percentage - carry to Page 1, Line 4

Mail to:
                                                                           Questions?
                                                                           740-670-7580  phone
Newark City Income Tax
                                                                           740-670-7581  fax
PO Box 4577
                                                                           citytax@newarkohio.net
Newark, OH  43058-4577